Kazan version of the classification of congenital heart defects of John Kirkland

2019 ◽  
pp. 87-90
Author(s):  
L. M. Mirolyubov
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Classification Scheme ◽  
Neonatal Period ◽  
Heart Defects ◽  
Age Groups ◽  
Point Of View ◽  
The Republic ◽  
Cardiac Surgeons

The article is devoted to the analysis of classifications of congenital heart defects from a practical point of view. The variant of own classification of congenital heart defects with the substantiation of optimal terms of surgical correction is presented. The classification scheme allows predicting possible critical hemodynamic conditions in children with CHD both in the neonatal period and in other age groups. Used and is the basis in the choice of tactics of treatment of patients with CHD in the practice of cardiologists and cardiac surgeons in the Republic of Tatarstan for more than 15 years.

scholarly journals Kazan version of the classification of congenital heart defects of John Kirklin

2019 ◽  
Vol 64 (5) ◽  
pp. 246-249
Author(s):  
L. M. Mirolyubov
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects ◽  
Age Groups ◽  
Point Of View ◽  
Hemodynamic Changes ◽  
The Republic ◽  
Cardiac Surgeons

The article is devoted to the analysis of classifications of congenital heart defects from a practical point of view. The researchers present their classification of congenital heart defects with the substantiation of optimal terms of surgical correction. The proposed classification allows us to predict possible critical hemodynamic conditions in children with heart defects both in the neonatal period and in other age groups. The classification creates the basis for choosing the treatment tactics of patients with congenital heart defects using the known stages of hemodynamic changes, it has been used by the cardiologists and cardiac surgeons in the Republic of Tatarstan for more than 15 years.

scholarly journals Recommendations for determining optimal age for the treatment of congenital heart defects

2018 ◽  
Vol 99 (2) ◽  
pp. 322-326
Author(s):  
L M Mirolyubov
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Point Of View ◽  
Waiting List ◽  
Optimal Time ◽  
Minimal Risk ◽  
Number Of Children ◽  
The Republic ◽  
The Government

The article presents the analysis of congenital heart defects classifications from the practical point of view. A variant of our classification of congenital heart defects is presented with the rationale for optimal time of surgical correction. The scheme-classification allows predicting possible critical hemodynamic states in children with congenital heart defects and is used in the practice in the Republic of Tatarstan for more than 15 years. Organizational measures taken during the recent decades in the field of cardiac and vascular surgery according to goal-oriented programs of the Government of RF and Ministry of healthcare of RF under the direct control of the chief cardiac surgeon of the Ministry of healthcare of RF academician L.A. Bokeriya, resulted in significant improvement of the situation with this specialty in Russia. In particular, regarding treatment of congenital heart defects, the number of surgeries in RF (about 15 000 per year) exceeds the number of children born with congenital heart defects (12 000 to 13 000 per year). Thus, in the nearby future the surgery waiting list will be completed, and some time later the named numbers will become equal. In the Republic of Tatarstan the waiting list for the surgeries for congenital heart defects was completed in 2005 due to additional financing from the president M.Sh. Shaymiev, and since then all children with congenital heart defects are registered soon after birth and are operated on in the optimal time that determines the minimal risk of postsurgical complications and lethal outcomes.

ECG Signal Analysis for Classification of Congenital Heart Defects

2020 ◽  
Author(s):  
Muhammad Umar Khan ◽  
Sumair Aziz ◽  
Mumtaz Ch. Javeria ◽  
Anber Shahjehan ◽  
Zohaib Mushtaq ◽  
...  
Keyword(s):  
Congenital Heart Defects ◽  
Signal Analysis ◽  
Congenital Heart ◽  
Heart Defects ◽  
Ecg Signal

scholarly journals Modern Strategy for Identification of Congenital Heart Defects in the Neonatal Period

2016 ◽  
Vol 70 (5) ◽  
pp. 384 ◽  
Author(s):  
Mediha Kardasevic ◽  
Ida Jovanovic ◽  
Jelica Samardzic
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects

Pulse oximetry screening of critical congenital heart defects in the neonatal period. The Spanish National Neonatal Society recommendation

2018 ◽  
Vol 88 (2) ◽  
pp. 112.e1-112.e6 ◽  
Author(s):  
Manuel Sánchez Luna ◽  
Alejandro Pérez Muñuzuri ◽  
Ester Sanz López ◽  
José Luis Leante Castellanos ◽  
Isabel Benavente Fernández ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects ◽  
Pulse Oximetry Screening

scholarly journals Consanguineous marriage and congenital heart defects: A case-control study in the neonatal period

2006 ◽  
Vol 140A (18) ◽  
pp. 1990-1990
Author(s):  
Yunis Khalid ◽  
Mumtaz Ghina ◽  
Bitar Fadi ◽  
Chamseddine Fadi ◽  
Kassar May ◽  
...  
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Case Control Study ◽  
Neonatal Period ◽  
Heart Defects ◽  
Case Control ◽  
Consanguineous Marriage ◽  
Control Study

scholarly journals Mortality with congenital heart defects in England and Wales, 1959–2009: exploring technological change through period and birth cohort analysis

2012 ◽  
Vol 97 (10) ◽  
pp. 861-865 ◽  
Author(s):  
Rachel L Knowles ◽  
Catherine Bull ◽  
Christopher Wren ◽  
Carol Dezateux
Keyword(s):  
Intensive Care ◽  
Birth Cohort ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Cohort Analysis ◽  
Age Groups ◽  
Birth Cohorts ◽  
Death Rates ◽  
England And Wales

BackgroundTechnological advances in surgery, intensive care and medical support have led to substantial decrease in mortality for children with congenital heart defects (CHDs) over the last 50 years.MethodsUsing routinely-collected mortality and population data for England and Wales from 1959 to 2009, the authors investigated age, period and birth cohort trends in child mortality attributable to CHDs.ResultsThe total number of deaths with CHDs at all ages between 1959 and 2009 was 61 903 (33 929 (55%) males). Absolute numbers of CHD-related deaths in children (under age 15 years) fell from 1460 in 1959 to 154 in 2009. Infants (aged under 1 year) comprised over 60% of all deaths due to CHD during the 5-year period 1959–1963, but this fell to 22% by 2004–2008. Age-standardised death rates have declined for both sexes but, despite narrowing sex differences, males continue to have higher death rates. Successive birth cohorts have experienced improved death rates in the first year of life; however, declining mortality across all age-groups has only been observed for birth cohorts originating after 1989. Poisson regression modelling predicts continuing generational decline in mortality.ConclusionsDeath rates attributable to CHDs have fallen dramatically with advances in paediatric cardiac surgery and intensive care, largely due to decreased mortality in infants aged under 1 year. Initially, mortality in later childhood rose as infant deaths fell, suggesting death was delayed beyond infancy. Children born within the last 20 years experienced lower mortality throughout childhood.

scholarly journals Evaluating the diagnostic value of clinical examination in combination with dual-zone pulse oximetry for diagnosis of critical congenital heart diseases in newborns

2015 ◽  
Vol 96 (4) ◽  
pp. 641-646
Author(s):  
S A Ushakova ◽  
I Yu Zharkova ◽  
M V Fomichev ◽  
O V Khait ◽  
E N Guseva ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Clinical Examination ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects ◽  
Diagnostic Value ◽  
Positive Test ◽  
Congenital Diseases ◽  
Early Neonatal Period

Aim. To evaluate the diagnostic significance of clinical examination in combination with pulse oximetry for diagnosis of critical congenital heart disease in newborns in the early neonatal period. Methods. A retrospective analysis of the screening results for dual-zone pulse oximetry in combination with clinical examination in 4201 newborns (2211 girls and 1990 boys) was performed for the period from June 2013 to December 2014. Criteria of inclusion were: healthy full-term neonates (94%) and preterm infants with a gestational age of >34-35 weeks (6%); no signs of diseases that require intensive care at birth; performed pulse oximetry. Results of physical examination, SpO2, echocardiography were examined in newborns with positive test. Diagnostic value of the method for detecting the critical congenital heart defects was evaluated in terms of sensitivity and specificity. Results. In the structure of congenital diseases of the circulatory system, diagnosed in the neonatal period, congenital heart defects, mainly with ductus-dependent hemodynamics, contributed to 19%. The efficiency of critical congenital heart defects timely diagnosis is increasing recently due to prenatal detection (62.5% of cases) and diagnosis in the early neonatal period (87.5% of cases). Screening with dual-zone pulse oximetry performed at 24-48 hours after birth has facilitated the postnatal diagnosis. Positive results of dual-zone pulse oximetry were registered in 10 infants (0.24% of the total number of examined newborns). In 8 cases, echocardiography verified critical congenital heart defects; false-positive test was seen in 2 cases, false-negative test - in 1 case. Conclusion. The specificity of pulse oximetry for diagnosis of severe congenital heart defects in the early neonatal period is very high (99.9 %), the sensitivity is 87.5%, with a small probability of false positives, that allows to consider the dual-zone pulse oximetry as a useful diagnostic method complementary to a thorough clinical examination of the newborn.

scholarly journals Cardiosurgical Care in Case of Congenital Heart Defects: Modern Approaches and Features of the State of Patients' Health

2021 ◽  
pp. 218-224
Author(s):  
Linda Anzorovna Enginoeva ◽  
Isa Shapievich Gaidarov ◽  
Djeneta Reyzulahovna Mirzebalaeva ◽  
Tatiana Timokhina ◽  
Fedorina Alena Georgievna ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Surgical Intervention ◽  
Heart Defects ◽  
Surgical Care ◽  
Congenital Disease ◽  
Present Stage ◽  
Intrauterine Diagnosis ◽  
Cardiac Surgeons

Congenital heart defects today, despite the early intrauterine diagnosis, are still quite common, and their danger to the patient's health is significant. The article discusses the features and modern approaches to the provision of cardiac surgical care for this congenital disease. The author comes to the conclusion that modern cardiac surgery technologies, rooted in the distant 50s of the twentieth century, allow us to conclude that at the present stage, surgical intervention in case of congenital heart defects has advanced far. Despite the challenges in this area, cardiac surgeons continue to make progress in reducing the mortality and multiple comorbidities of patients with congenital heart defects.

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